Total Joint Arthroplasty in Patients With an Implanted Left Ventricular Assist Device

Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent...

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Published inArthroplasty today Vol. 19; p. 101005
Main Authors Rosenberg, John H., Garvin, Kevin L., Hartman, Curtis W., Konigsberg, Beau S.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2023
Elsevier
Subjects
Case Report
Heart transplantation
Hip
Knee
LVAD
Knee
Heart transplantation
LVAD
Hip
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Summary:Left ventricular assist devices (LVADs) may be used as bridge therapy or destination therapy in heart failure patients. Total joint arthroplasty may improve the functional status of patients limited by arthritis. This retrospective case series evaluated patients with an implanted LVAD who underwent a total joint arthroplasty at 1 institution from 2012 to present. Five patients underwent 12 surgeries with 7 primary arthroplasties and 5 revisions. Their mortality, length of stay, coagulopathic events, incidence of infection or revision arthroplasty, and heart transplantation were evaluated, and is the largest study to date of this population. Two patients expired from thrombotic events while 3 progressed to heart transplantation. Joint arthroplasty is feasible in patients with an implanted LVAD with expected risk and perioperative multidisciplinary collaboration.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Report-1
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2022.07.021